Price D T, Vieweg J, Roland F, Coetzee L, Spalding T, Iselin C, Paulson D F
Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA.
J Urol. 1998 Oct;160(4):1376-8.
We assess the incidence and risk factors associated with lower extremity neurapraxia following radical perineal prostatectomy.
The medical records of 111 consecutive patients undergoing radical perineal prostatectomy at Duke University Medical Center between June 1994 and June 1995 were retrospectively reviewed. Patients were interviewed by telephone to ascertain whether symptoms had resolved.
Neurapraxia developed in 23 patients (21%). Symptomatology was variable, including sensory and motor deficits of the lower leg and foot. Although lower extremity neurapraxia occurred in a significant number of patients undergoing radical perineal prostatectomy, it appeared to resolve in most.
Careful attention to detail when positioning the patient and limiting the time in the exaggerated lithotomy position appear to be the most critical aspects to prevent neurapraxia.
我们评估根治性会阴前列腺切除术后下肢神经失用症的发生率及相关危险因素。
回顾性分析1994年6月至1995年6月在杜克大学医学中心连续接受根治性会阴前列腺切除术的111例患者的病历。通过电话采访患者以确定症状是否已缓解。
23例患者（21%）出现神经失用症。症状表现多样，包括小腿和足部的感觉和运动功能障碍。虽然接受根治性会阴前列腺切除术的患者中有相当数量出现下肢神经失用症，但大多数患者的症状似乎有所缓解。
患者体位摆放时仔细注意细节并限制极度截石位的时间，似乎是预防神经失用症的最关键因素。
